Reconstructive Approaches to Nasal Defects

2018 ◽  
Author(s):  
Ravi K Garg ◽  
Michael L. Bentz
Keyword(s):  
Steroid Injection ◽  
Free Tissue Transfer ◽  
Nasal Reconstruction ◽  
Nasal Airway ◽  
Prosthetic Rehabilitation ◽  
Prosthetic Reconstruction ◽  
Skin Cancers ◽  
Laser Treatments ◽  
Nonmelanoma Skin Cancers ◽  
Nasal Defects

Nasal reconstruction is commonly performed for treatment of defects arising from excision of nonmelanoma skin cancers, although other tumors, trauma, or infection may also result in significant nasal deformities necessitating corrective surgery. Patients being evaluated for nasal reconstruction should have a functional assessment of airflow through both the internal and external nasal valves to determine the need for reconstructive maneuvers that will maintain or improve the nasal airway. Aesthetic considerations relate to which nasal subunits are missing and how local, regional, and sometimes free tissue transfer can be used to optimize the final appearance of the nose. Reconstruction must incorporate a plan for reestablishing nasal lining, support, and cover depending on which elements are missing. Postoperative considerations include the need for nasal splints and interventions to optimize nasal scarring and contour such as scar massage, steroid injection, and laser treatments. Patients who are not good candidates for autologous nasal reconstruction may be considered for prosthetic reconstruction. This review contains 13 figures and 67 references Key words: Nasal reconstruction, Nasal airway, Mohs surgery, Skin cancer, Nasal aesthetic subunits, Facial flaps, Skin graft, Forehead flap, Nasal cover, Nasal lining, Nasal support, Prosthetic rehabilitation

Reconstructive Approaches to Nasal Defects

2018 ◽  
Author(s):  
Michael L. Bentz
Keyword(s):  
Steroid Injection ◽  
Free Tissue Transfer ◽  
Nasal Reconstruction ◽  
Nasal Airway ◽  
Prosthetic Rehabilitation ◽  
Prosthetic Reconstruction ◽  
Skin Cancers ◽  
Laser Treatments ◽  
Nonmelanoma Skin Cancers ◽  
Nasal Defects

Nasal reconstruction is commonly performed for treatment of defects arising from excision of nonmelanoma skin cancers, although other tumors, trauma, or infection may also result in significant nasal deformities necessitating corrective surgery. Patients being evaluated for nasal reconstruction should have a functional assessment of airflow through both the internal and external nasal valves to determine the need for reconstructive maneuvers that will maintain or improve the nasal airway. Aesthetic considerations relate to which nasal subunits are missing and how local, regional, and sometimes free tissue transfer can be used to optimize the final appearance of the nose. Reconstruction must incorporate a plan for reestablishing nasal lining, support, and cover depending on which elements are missing. Postoperative considerations include the need for nasal splints and interventions to optimize nasal scarring and contour such as scar massage, steroid injection, and laser treatments. Patients who are not good candidates for autologous nasal reconstruction may be considered for prosthetic reconstruction. This review contains 13 figures and 67 references Key words: Nasal reconstruction, Nasal airway, Mohs surgery, Skin cancer, Nasal aesthetic subunits, Facial flaps, Skin graft, Forehead flap, Nasal cover, Nasal lining, Nasal support, Prosthetic rehabilitation

scholarly journals Osseointegrated Implants and Prosthetic Reconstruction Following Skull Base Surgery

2017 ◽  
Vol 31 (04) ◽  
pp. 214-221 ◽  
Author(s):  
Shirley Hu ◽  
Demetri Arnaoutakis ◽  
Sameep Kadakia ◽  
Allison Vest ◽  
Raja Sawhney ◽  
...  
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Free Tissue Transfer ◽  
Prosthetic Rehabilitation ◽  
Muscle Flaps ◽  
Skin Paddle ◽  
Prosthetic Reconstruction ◽  
Advantages And Disadvantages ◽  
Osseointegrated Implants ◽  
Skull Base Defects

AbstractRehabilitation following ablative skull base surgery remains a challenging task, given the complexity of the anatomical region, despite the recent advances in reconstructive surgery. Remnant defects following resection of skull base tumors are often not amenable to primary closure. As such, numerous techniques have been described for reconstruction, including local rotational muscle flaps, pedicled flaps with skin paddle, or even free tissue transfer. However, not all patients are appropriate surgical candidates and therefore may instead benefit from nonsurgical options for functional and aesthetic restoration. Osseointegrated implants and biocompatible prostheses provide a viable alternative for such a patient population. The purpose of this review serves to highlight current options for prosthetic rehabilitation of skull base defects and describe their indications, advantages, and disadvantages.

scholarly journals Surgical Treatment with Locoregional Flap for the Nose

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Marco Marcasciano ◽  
Mauro Tarallo ◽  
Michele Maruccia ◽  
Benedetta Fanelli ◽  
Giorgio La Viola ◽  
...  
Keyword(s):  
Functional Result ◽  
Tumor Control ◽  
Nasal Reconstruction ◽  
Local Defect ◽  
Common Site ◽  
Skin Cancers ◽  
Skin Loss ◽  
Nasal Region ◽  
Nasal Pyramid ◽  
Nasal Defects

Nonmelanotic skin cancers (NMSCs) are the most frequent of all neoplasms and nasal pyramid represents the most common site for the presentation of such cutaneous malignancies, particularly in sun-exposed areas: ala, dorsum, and tip. Multiple options exist to restore functional and aesthetic integrity after skin loss for oncological reasons; nevertheless, the management of nasal defects can be often challenging and the best “reconstruction” is still to be found. In this study, we retrospectively reviewed a total of 310 patients who presented to our Department of Plastic and Reconstructive Surgery for postoncological nasal reconstruction between January 2011 and January 2016. Nasal region was classified into 3 groups according to the anatomical zones affected by the lesion: proximal, middle, and distal third. We included an additional fourth group for complex defects involving more than one subunit. Reconstruction with loco regional flaps was performed in all cases. Radical tumor control and a satisfactory aesthetic and functional result are the primary goals for the reconstructive surgeon. Despite tremendous technical enhancements in nasal reconstruction techniques, optimal results are usually obtained when “like is used to repair like.” Accurate evaluation of the patients clinical condition and local defect should be always considered in order to select the best surgical option.

Prosthetic Rehabilitation Following Major Nasal Resection

1982 ◽  
Vol 90 (5) ◽  
pp. 646-650 ◽  
Author(s):  
Gregory Roscoe ◽  
Ivo Zini ◽  
Mohamed A. Aramany ◽  
Jonas T. Johnson
Keyword(s):  
Prosthetic Rehabilitation ◽  
Prosthetic Reconstruction ◽  
External Nose ◽  
And Function ◽  
Nasal Defects

Treatment of extensive carcinoma of the external nose has as an objective the eradication of disease and rehabilitation of the patient. We review our experience with 15 patients treated with total and subtotal rhinectomy. Prosthetic rehabilitation offers prompt recovery of both cosmesis and function without morbidity. We conclude that prosthetic reconstruction of major nasal defects deserves consideration when rehabilitation following rhinectomy is required.

Reconstruction of the Intranasal Lining

2017 ◽  
Vol 33 (01) ◽  
pp. 067-073 ◽  
Author(s):  
Joseph Zenga ◽  
John Chi
Keyword(s):  
Patient Expectations ◽  
Nasal Reconstruction ◽  
Internal Stability ◽  
Nasal Airway ◽  
Full Thickness ◽  
Critical Feature ◽  
The Subject ◽  
Nasal Defects

AbstractReconstruction of full-thickness nasal defects has been the subject of surgical inquiry and innovation for over 2,000 years. The replacement of the internal nasal lining is a critical feature of complex nasal reconstruction. Successful reconstruction can prevent cicatricial contraction, external distortion, and internal stenosis. An array of reconstructive possibilities has been described, including cutaneous, mucosal, and fascial options. The challenge to the reconstructive surgeon is to select the repair that maximizes internal stability, while maintaining a patent nasal airway, minimizing morbidity, and meeting patient expectations. This article reviews the options available for the reconstruction of the intranasal lining.

scholarly journals Systemic Photoprotection in Skin Cancer Prevention: Knowledge among Dermatologists

Biomolecules ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 332
Author(s):  
Luca Fania ◽  
Francesca Sampogna ◽  
Francesco Ricci ◽  
Mariafrancesca Hyeraci ◽  
Andrea Paradisi ◽  
...  
Keyword(s):  
Skin Cancer ◽  
Sampling Procedure ◽  
Skin Cancer Prevention ◽  
Snowball Sampling ◽  
Scientific Publications ◽  
Current State ◽  
Skin Cancers ◽  
Knowledge And Attitude ◽  
Nonmelanoma Skin Cancers

Background: Systemic photoprotection (i.e., administration of substances such as nicotinamide, carotenoids, and vitamin D) may be important to reduce photocarcinogenesis or to support long-term protection against UV irradiation. Clinical trials showed that oral nicotinamide is effective in reducing the onset of new nonmelanoma skin cancers (NMSCs), while other oral photoprotectors failed to achieve the reduction of new melanoma or NMSC formation in humans. The aim of this study was to summarize the current state of knowledge of systemic photoprotection and to evaluate the knowledge and attitude of dermatologists regarding these treatments. Methods: The survey was conducted on a sample of dermatologists recruited according to a snowball sampling procedure. The questionnaire consisted of a first part asking for characteristics of the participant and a second part with 12 specific questions on their knowledge about systemic photoprotection, particularly their knowledge of astaxanthin, β-carotene, nicotinamide, and vitamin D3. Results: One hundred eight dermatologists answered the survey. Most of them (85.2%) stated that oral photoprotectors have a role in the prevention of skin cancer, and responses mainly mentioned nicotinamide. More than half of them (54.6%) had prescribed all the considered oral photoprotectors, but the majority of them had prescribed nicotinamide, mainly for 2 to 3 months during summer, almost invariably (n = 106) associated with topical photoprotectors. Most dermatologists (>80%) were aware of scientific publications demonstrating an effect of systemic photoprotectors on NMSC. Conclusions: Most Italian dermatologists have positive views on oral photoprotection in skin cancer and are aware of the demonstrated potential of nicotinamide in the prevention of NMSCs.

Vascularized Radial Forearm Free Tissue Transfer for Lining in Nasal Reconstruction

2003 ◽  
Vol 113 (12) ◽  
pp. 2078-2085 ◽  
Author(s):  
Eric J. Moore ◽  
Scott A. Strome ◽  
Jan L. Kasperbauer ◽  
David A. Sherris ◽  
Lance A. Manning
Keyword(s):  
Free Tissue Transfer ◽  
Nasal Reconstruction ◽  
Tissue Transfer ◽  
Radial Forearm
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